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目的探讨儿童消化性溃疡急性穿孔的诊断和治疗。方法回顾性分析腹腔镜和开腹单纯修补术治疗儿童消化性溃疡急性穿孔的临床资料各5例。结果腹腔镜组术中出血量、排气时间、进食时间、住院时间、并发症发生率均优于开腹组(P<0.05)。术后经内科规范治疗,2年后随访7例,胃镜检查无复发。结论联合运用X线和B超能提高儿童消化性溃疡急性穿孔的诊断准确率。手术治疗以单纯修补术为主,腹腔镜下单纯修补术创伤小、恢复快、安全性高。术后应给予规范内科治疗。
Objective To investigate the diagnosis and treatment of acute peptic ulcer perforation in children. Methods The clinical data of 5 cases with acute peptic ulcer perforation were retrospectively analyzed. Results The laparoscopic group was superior to the laparotomy group in bleeding volume, excretion time, eating time, hospitalization time and complication rate (P <0.05). Postoperative medical treatment, 2 years follow-up in 7 cases, no recurrence of gastroscopy. Conclusion The combined use of X-ray and B-ultrasonography can improve the diagnostic accuracy of acute perforation of peptic ulcer in children. Surgical treatment with simple repair, laparoscopic simple repair trauma, fast recovery, high safety. After surgery should be given standardized medical treatment.